Aiken Pediatrics, P.a.
Organization Active NPI Pediatrics Physician · Aiken, SC
NPI 1821098310 · NPPES record last updated Aug 22, 2020
Key facts
- NPI
- 1821098310
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Pediatrics Physician 208000000X
- License
- 0505068 (SC)
- Legal business name
- AIKEN PEDIATRICS, P.A.
- Practice address
- 74 Physician Dr
Aiken, SC 29801-6388 - Phone
- (803) 649-2925
- Fax
- (803) 649-2788
- NPI assigned
- Jul 26, 2005
- Organization subpart
- No
Authorized official
- Name
- Ms. Paula C. Godwin
- Title
- Office Manager
- Phone
- (803) 649-2925
Practitioners 1
-
Jose A Luis, MD
National Provider Directory
Locations
74 Physician Dr
Aiken, SC 29801
Phone (803) 649-0578
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician |
208000000X | 0505068 | SC | Yes |
Addresses
Primary practice location
74 Physician Dr
Aiken, SC 29801-6388
Mailing address
74 Physician Dr
Aiken, SC 29801-6388
Phone (803) 649-2925
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PC1388 | Medicaid | SC |
Other providers in Aiken, SC
- Aiken Neurosciences PC
- Aiken Nursing Home, Inc
- Aiken Obstetrics and Gynecology Associates, PA
- Aiken Opco LLC
- Aiken Ophthalmology PC
- Aiken Pest Control, Inc.
- Aiken Pharmacy LLC
- Aiken Physical Medicine and Rehabilitation LLC
- Aiken Physician Services LLC
- Aiken Plastic Surgery, PA
All providers in Aiken, SC · Pediatrics Physician in South Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 22, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.